Swish and swallow for thrush Patch#

Nystatin suspension 5ml (500,000units) swish and swallow in mouth and swallow or spit out four times daily.Miconazole adhesive buccal tablets 50mg Apply one buccal tablet to the upper gum region, just above the incisor tooth (canine fossa) once daily.Clotrimazole troches 10 mg 1 troche dissolved in mouth five times daily.Oropharyngeal candidiasis (7 to 14 day-duration): When choosing an agent, one must consider drug efficacy for the identified strain and site of infection, severity of infection, ease of administration, anticipated adherence, gastric acidity (which may affect absorption), drug-drug interactions, and cost.

For esophageal candidiasis 14 to 21 day-duration of therapy is recommended. The average duration of therapy is 7 to 14 days. The preferred treatment of oropharyngeal candidiasis differs based on patient-specific factors. Many patients with esophageal candidiasis may be asymptomatic however or have one or more of the following symptoms: 7 The symptoms of esophageal candidiasis may be suspected in a patient with evidence of oropharyngeal infection who also complains of hoarseness. In addition, immunosuppressed patients with thrush may also have concurrent Candida esophageal candidiasis. Patients who have denture stomatitis usually experience pain. When symptoms do occur, patient may describe a cottony feeling in the mouth, loss of taste, burning mouth or tongue, and in some cases, pain and/or soreness during eating and swallowing. Many patients with oropharyngeal candidiasis are asymptomatic. Mixed – Combination of any of the above types.Angular cheilitis – An inflammatory reaction characterized by soreness, erythema, and fissuring at the corners of the mouth.

Swish and swallow for thrush Patch#

Erythematous – An erythematous patch on the hard and soft palates.

Atrophic, also called denture stomatitis – Most common in older adults, found under the upper dentures and characterized by erythema without plaques.

Pseudomembranous – Most common overall and appears as white, curdlike plaques on the buccal mucosa, palate, tongue, and/or the oropharynx.

There are 5 types of oropharyngeal candidiasis: However, in highly immunosuppressed patients, non-albicans species appear to cause the condition. albicans, and are the typical culprits of symptomatic infection in most patients. When found, these other species grow alongside C. tropicalis, have been isolated from patients with thrush. The usual causative agent is Candida albicans, but other species, including C. Patients treated with inhaled corticosteroids or nasal corticosteroids are also at risk due to inadvertent accumulation of corticosteroid deposited in the oral and nasal mucosa. Oropharyngeal candidiasis, or thrush, is a local infection commonly seen in infants, denture-wearers, patients treated with antibiotics, chemotherapy, or radiation therapy to the head and neck, and those with immunodeficiency states, such as HIV infection and AIDS. Given KR’s medical conditions and medications, what therapy is best to manage his oropharyngeal candidiasis? OVERVIEW 1-4 KR exhibits white plaques on the tongue and oropharynx, as well as a feeling he describes as “like cotton in my mouth”.

Sennosides/Docusate 8.6/50mg 2 tablets by mouth every day for constipation (hold for loose stool).

Ranitidine 150mg 1 tablet by mouth every day for gastric reflux.

Oxycodone 5mg 1 tablet by mouth every 4 hours as needed for breakthrough pain.

Ondansetron (Zofran®) 8mg 1 tablet by mouth every 8 hours as needed for nausea and/or vomiting.

Methadone 10mg 1 tablet by mouth every 8 hours for pain.Lorazepam 0.5mg 1 tablet by mouth every 4 hours as needed for anxiety.Loratadine (Claritin®) 10mg 1 tablet by mouth every day for allergies.Gabapentin (Neurontin®) 100mg 1 capsule by mouth three times a day for nerve pain.Dolutegravir (Tivicay®) 50mg 1 tablet by mouth every day for infection.Dexamethasone 4mg 1 tablet by mouth every day for pain.Abacavir/Lamivudine (Epzicom®) 600/300mg 1 tablet by mouth every day for HIV infection.He lives with his sister who is his primary caregiver. KR is a 68-year-old male recently admitted to hospice with a primary diagnosis of liver cell carcinoma and comorbidities of HIV infection, neuralgia, anxiety, and allergic rhinitis and no known drug allergies.